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psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - Rivaroxaban program for acute venous thromboembolism upon ED discharge,
with focus on utility of commercially … Guidelines for treatment and prevention of venous thromboembolism
among patients with cancer.
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Risk of venous thromboembolism associated with peripherally inserted central catheters: a systematic
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - Book/Report
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer.
Citation Text:
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health C…
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - Electronic alerts to prevent venous thromboembolism among hospitalized patients.
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psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records-patient-safety
October 30, 2013 - Study
IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety.
Citation Text:
Caron A, Chazard E, Muller J, et al. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. J Am Med Infor…
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psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
January 25, 2023 - Study
Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic.
Citation Text:
Zińczuk A, Rorat M, Simon K, et al. Unpacking the complexity of COVID-19 fatalities: adverse event…
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psnet.ahrq.gov/issue/rates-patient-safety-indicators-belgian-hospitals-were-low-generally-higher-us-hospitals-2016
September 13, 2023 - Study
Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016-18.
Citation Text:
Van Wilder A, Bruyneel L, Cox B, et al. Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 20…
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psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
September 23, 2020 - Study
A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures.
Citation Text:
Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit: increasing the implementatio…
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - Rivaroxaban program for acute venous thromboembolism upon ED discharge, with focus on utility of commercially … Guidelines for treatment and prevention of venous thromboembolism among patients with cancer.
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Electronic alerts to prevent venous thromboembolism among
hospitalized patients.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - case review committee discovered the patient had been given low-molecular-weight heparin (LMWH) for venous … thromboembolism (VTE) prophylaxis during the first admission. … record (EHR), and that she was used to ordering it as nearly all patients she admitted met criteria for VTE … consequently only considering clinical issues superficially
In this case, the admitting provider stated VTE
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - Venous thromboembolism, ventilator-associated pneumonia, central line–related infection, and urinary … many patient safety problems, that type of applied epidemiological approach is appropriate: falls, venous … thromboembolism, and contrast-induced nephropathy, for example.
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - The patient's nurse noticed that there were no orders for venous thromboembolism (VTE) prophylaxis, despite … the patient being at high risk for VTE. … The intern assumed that VTE prophylaxis was contraindicated, since the fellow had not ordered VTE prophylaxis … Therefore, the patient was not prescribed VTE prophylaxis. … on the ICU team was reviewing orders for the patient and realized that the patient was not receiving VTE
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - Venous thromboembolism, ventilator-associated pneumonia, central line–related infection, and urinary … many patient safety problems, that type of applied epidemiological approach is appropriate: falls, venous … thromboembolism, and contrast-induced nephropathy, for example.
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - obstetrics, hospital-associated infections, emergency departments, sepsis, falls, pressure ulcers, venous … thromboembolism, and care transitions. … on surgical patient safety, infusion safety, clinical alarms safety, unit-based safety improvement, venous … thromboembolism prevention, and adoption of health information technology.
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - February 15, 2023
Modes of failure in venous thromboembolism prophylaxis.
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Delayed Diagnosis of Mesenteric Ischemia
Source and Credits
• This presentation is based on the August 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Anamaria Robles, MD, and Garth Utter, MD, MSc
o AHRQ WebM&M…
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - Delayed Diagnosis of Mesenteric Ischemia
August 31, 2022
Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for…
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - checklist is
completed or the proportion of patients in a hospital receiving appropriate prophylaxis for venous … thromboembolism.
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - case review committee discovered the patient had been given low-molecular-weight heparin (LMWH) for venous … thromboembolism (VTE) prophylaxis during the first admission. … record (EHR), and that she was used to ordering it as nearly all patients she admitted met criteria for VTE … this case, the admitting provider stated that nearly all patients she admitted met the criteria for VTE … combination of large volumes of information, inappropriate application of her usual practice (giving VTE